Reynaldo P. Lazaro, MD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

124398-1 Issued in NY

Legal business name

REYNALDO P. LAZARO, MD

Practice address

1 Foxcare Dr
Suite 104
Oneonta, NY 13820-2099

Phone

(607) 432-8272

Fax

(607) 432-7852

NPI assigned

Mar 15, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Terri J Beers

Title

Office Manager

Phone

(607) 432-8272

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336867200000",
    "number": "1336414911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FOXCARE DR",
            "address_2": "SUITE 104",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202099",
            "telephone_number": "607-432-8272",
            "fax_number": "607-432-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FOXCARE DR",
            "address_2": "SUITE 104",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202099",
            "telephone_number": "607-432-8272",
            "fax_number": "607-432-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNALDO P. LAZARO, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-05-13",
        "status": "A",
        "authorized_official_last_name": "BEERS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "607-432-8272"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "124398-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laura Joyce Reyda, L. AC.
• Richard L Polgar DMD PC
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• Rachel Knight Rissberger, MS, OTR,L
• Craig A Ritchko

• Clinic/Center in Oneonta, NY
• Providers in Oneonta, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.